Does the Use of a “Walking Bleaching” Technique Increase Bone Resorption Markers?

Bersezio, Cristian; Vildósola, Patricio; Sáez, M; Sánchez, F. Martinón; Vernal, Rolando; Oliveira, Osmir Batista de; Jorquera, Gilbert; Basualdo, Juan Ángel; Loguércio, AD; Fernández, Eduardo

doi:10.2341/16-334-c

Cited by 7 publications

(5 citation statements)

References 39 publications

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“…Several studies have assessed the walking bleach, 2,7,18,20,22 the in‐office bleaching 12,13,16,19 and the inside‐outside techniques, 22 however, previous research has assessed inside‐outside technique only with carbamide peroxide. The effectiveness of the inside‐outside technique with hydrogen peroxide 7.5% has not been fully investigated.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have assessed the walking bleach, 2,7,18,20,22 the in-office bleaching 12,13,16,19 and the inside-outside techniques, 22 Considering that all the techniques and bleaching agents produced effective bleaching, any of the techniques could be applied successfully. The appropriate choice should also take into account the longevity of the whitening outcome.…”

Section: Discussionmentioning

confidence: 99%

“…The bleaching agents currently used are hydrogen peroxide and carbamide peroxide, at concentrations ranging from 4% to 40%, as well as sodium perborate used alone or in association with hydrogen peroxide. 7,11,[13][14][15][16][17][18][19] Although many products, protocols and techniques have been tested, [20][21][22] there is no study which evaluates and compares the effectiveness between these bleaching options on blood-stained teeth.…”

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confidence: 99%

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Effectiveness and color stability of bleaching techniques on blood‐stained teeth: An in vitro study

Gaidarji

Perez

Ruiz‐López

et al. 2021

J Esthet Restor Dent

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Objective Evaluate the effectiveness and color stability of bleaching techniques on blood‐stained teeth. Material and Methods The teeth were stained by blood and allocated to groups: walking bleach, inside/outside, and in‐office bleaching. L*, a*, b*, C*, h° color coordinates were measured using a clinical spectrophotometer at baseline, weekly (T1‐T2‐T3), and at 1‐week (T4), 6‐months (T5), and 1‐year (T6) follow‐up evaluations. ΔEab*, ΔE00, and ΔWID were calculated between sequential evaluation timepoints and between baseline and each evaluation timepoint. Color coordinates and WID differences in each timepoint and technique were analyzed by Wilcoxon Signed Rank, Kruskal‐Wallis and Mann–Whitney U test, respectively. ΔEab*, ΔE00, and ΔWID were interpreted by color visual thresholds. Results The techniques presented a significant increase in L* and WID and, a significant decrease in a* and b* until the completion of treatments. Statistical differences between the techniques for a*, b* and WID were observed from T1 until T3. All techniques demonstrated excellent effectiveness for ΔEab*, ΔE00, and ΔWID between baseline and each evaluation and follow‐up timepoints. However, at T6, it was possible to identify a rebound effect for all techniques. Conclusions All bleaching techniques presented excellent effectiveness. The stability of the whitening produced was maintained for 6 months. Clinical Significance Effective whitening of blood‐stained teeth was achieved using walking bleach (sodium perborate), inside/outside (hydrogen peroxide ‐ 7.5%) and in‐office techniques (hydrogen peroxide ‐ 35%). The bleaching techniques were effective after the completion of the treatments. A slight rebound was observed at 1 year follow‐up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Effectiveness and color stability of bleaching techniques on blood‐stained teeth: An in vitro study

Gaidarji

Perez

Ruiz‐López

et al. 2021

J Esthet Restor Dent

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“…Bersezio et al evaluated the effect of HP at 35% and CP at 37%, observing an increase in cytokine levels present in most inflammatory processes. These increases were associated with several pathological processes, such as periodontitis and marginal bone loss (39).…”

Section: Adverse Effectsmentioning

confidence: 99%

The Impact of Tooth Whitening Procedures on the Quality of Life: a Topic Review

Silva¹,

Claudio²,

Cavalcante³

et al. 2021

RNO

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A estética em odontologia é uma das metas a ser alcançada visando à melhoria da qualidade de vida do paciente. O clareamento dental é um procedimento de baixo custo que pode ser realizado no consultório ou pelo próprio paciente em casa. Vários trabalhos científicos comprovaram sua eficácia e outros estudos foram realizados para avaliar essa eficácia com o impacto psicossocial. Entre as ferramentas que têm sido utilizadas para esse fim estão os questionários Oral Health Impact Profile (OHIP), Oral Impact on Daily Performance (OIDP) e Psicossocial Impact of Dental Esthetics (PIDAQ). O presente estudo tem como objetivo fazer uma revisão da literatura sobre o impacto do clareamento dental na qualidade de vida dos pacientes. As bases de dados PubMed, Cochrane Central, Scopus e Embase foram pesquisadas. Foram identificados 224 ar tigos e selecionados 40, dos quais 13 eram estudos clínicos. Parece haver um consenso na literatura pesquisada em relação ao clareamento dentário e à melhora da qualidade de vida. Por outro lado, sensibilidade dentária e irritação gengival também foram relatadas, o que pode levar a um impacto negativo na vida das pessoas. Porém, esse efeito negativo pode ser evitado ou minimizado pela associação do diagnóstico correto da mudança de cor, a utilização da técnica ideal e a concentração do agente clareador recomendada pelo dentista.

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“…It is thought that hydrogen peroxide compounds and free radicals must reach the periodontal tissues through the dentinal tubules and defects in cementum (Newton & Hayes, 2020 ; Wang & Hume, 1988 ). Significant increases in the levels of bone resorption markers RANK‐L and IL‐I ß were found in gingival crevicular fluid of teeth treated with walking bleach where the bleaching agent was 35% hydrogen peroxide or 37% carbamide peroxide (Bersezio et al, 2018b ). Further study by the same group revealed that these inflammatory mediators persisted for 3 months post‐bleaching (Bersezio et al, 2020 ).…”

Section: Complications and Risksmentioning

confidence: 99%

Present status and future directions – Managing discoloured teeth

Kahler

2022

Int Endodontic J

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Managing tooth discolouration involves a range of different protocols for clinicians and patients in order to achieve an aesthetic result. There is an increasing public awareness in the appearance of their teeth and management of tooth discolouration may be inter‐disciplinary and involve both vital and nonvital teeth. Vital teeth can be easily treated with low concentration hydrogen peroxide products safely and effectively using an external approach and trays. For endodontically treated teeth, the walking bleach technique with hydrogen releasing peroxide products is popular. However, there is an association with external cervical root resorption with higher concentrations of hydrogen peroxide of 30%–35%. There are also regulatory considerations for the use of hydrogen peroxide in certain jurisdictions internationally. Prosthodontic treatments are more invasive and involve loss of tooth structure as well as a life cycle of further treatment in the future. This narrative review is based on searches on PubMed and the Cochrane library. Bleaching endodontically treated teeth can be considered a safe and effective protocol in the management of discoloured teeth. However, the association between bleaching and resorption remains unclear although there is likely to be a relation to prior trauma. It is prudent to avoid thermocatalytic approaches and to use a base/sealer to cover the root filling. An awareness expectations of patients and multidisciplinary treatment considerations is important in achieving the aesthetic result for the patient. It is likely that there will be an increasing demand for aesthetic whitening treatments. Bleaching of teeth has also become increasingly regulated although there are international differences in the use and concentration of bleaching agents.

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Does the Use of a “Walking Bleaching” Technique Increase Bone Resorption Markers?

Abstract: Nonvital bleaching induced a significant increment in the RANK-L and IL-1β levels in periodontal tissues around bleached, nonvital teeth.

Cited by 7 publications

References 39 publications

Effectiveness and color stability of bleaching techniques on blood‐stained teeth: An in vitro study

Effectiveness and color stability of bleaching techniques on blood‐stained teeth: An in vitro study

The Impact of Tooth Whitening Procedures on the Quality of Life: a Topic Review

Present status and future directions – Managing discoloured teeth

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